JEAN A LEWIS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000693

License Status

NOT RENEWED

Business

Title

DMD

First Name

JEAN

Middle

Last Name

LEWIS

Business Name

JEAN A LEWIS DMD

Original Issue Date

12/06/2006

Effective Date

12/06/2006

Expiration Date

09/30/2009

City

BARRINGTON

State

Zip

60010

County

LAKE

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

11/04/2009